ELIZABETH AQUINO
PEOPLES HEALTH SERVICES
Milton,FL
11
years of professional experience
Healthcare operations leader with 10+ years of experience supporting Home Health Care and Hospice organizations through intake, referral management, insurance verification, authorizations, Medicare compliance, and process improvement. Experienced in leading teams, developing workflows, conducting pre-claim reviews, training staff, and partnering across departments to improve efficiency and referral outcomes.
Work History
Business Process Manager
4 Years- Managed intake and authorization operations for home health care and hospice referrals and admissions, ensuring compliance and efficiency.
- Conducted pre-claim reviews to verify documentation and ensure Medicare readiness, minimizing claim denials.
- Collaborated with Clinical, Sales, Operations, and Billing teams to resolve referral issues.
- Monitor operational reports and identify process improvement opportunities.
- Collaborated with clinical, sales, operations, and billing teams to resolve referral issues, facilitating seamless patient transitions.
- Led cross-functional teams to streamline business processes and enhance operational efficiency.
- Developed and implemented process improvement initiatives, reducing bottlenecks in service delivery.
- Analyzed workflow systems to identify areas for optimization, driving increased productivity across departments.
- Facilitated training sessions to empower staff with best practices in process management and compliance standards.
Intake & Authorization Supervisor / Lead Authorization / Representative
6 Years 10 Months- Advanced through intake and authorization roles, demonstrating leadership growth and expertise in process management.
- Managed referral processing, insurance verification, and authorizations to ensure seamless team support.
- Improved workflow consistency and communication across departments.
- Trained and mentored staff on payer requirements and intake processes to enhance team knowledge and efficiency.
- Supervised daily operations of home health services, ensuring compliance with regulatory standards and company policies.
- Coordinated staff schedules and assignments to optimize patient care and service delivery.
Education
GED
Skills
Intake & Referral Management
Home Health & Hospice Operations
Authorization Management
Insurance Verification
Medicare & Payer Requirements
Pre-Claim Review
Process Improvement
SOP Development
Workflow Optimization
Staff Training
Reporting & Analytics
Cross-Functional Collaboration
SYSTEMS
- WellSky/Kinnser
- KanTime
- CarePort
- Ensocare
- Navi
- Allscripts
- Forcura
- Faxage
- Waystar
- Availity
- ESolutions
- CareCentrix
- Palmetto GBA
- PECOS
- NPI Registry
- Microsoft Word
- Excel
- Outlook
- Teams
Timeline
Business Process Manager
PEOPLES HEALTH SERVICES
08.2022 - CurrentRead More
Intake & Authorization Supervisor / Lead Authorization / Representative
COVENANT HOME HEALTH
10.2015 - 08.2022Read More
Kalaheo School for Adults
GED
Read More